30yr woman presents with a single painless breast lump for last 3 months. It is firm, round with distinct borders, and mobile.
30yr woman presents with multiple painful and tender breast lumps in both breasts, which are more painful during secretory phase of menstruation. Lumps hard and blend with tissue.
50yr woman presents with painless single lump. She reports bloody discharge from her nipple. The lump is hard, with an irregular border and is tethered to surrounding structures
30yr woman who is 2 weeks postpartum a develops a single painful breast lump. The lump is hard, reddened and mobile, and she has a fever.
60yr man presents with painless jaundice, with weight loss, dark urine, light stools and enlarged neck lymph nodes. Urobilinogen -ve, urobilirubin up, Ca 19.9 up
20yr woman presents with slow movements and difficulty starting movements, a hand tremor, joint pains and orange rings in her iris. Her liver function tests are raised
20yr man presents with painless jaundice and shortness of breath particularly with exercise, which has been gradually getting worse.
20yr man presents with jaundice, low grade fever and malaise, fine macular rash and lymphadenopathy
40yr diabetic man presents with joint pains and jaundice. He has a distended abdomen, as well as a rather nice tan, despite living in Invercargill
60yr man presents with clubbing, leukonychia, palmar erythema, asterixis, Dupuyten's contracture, parotid enlargement, ascites, jaundice, gynaecomastia, haemorrhoids and petechiae.
60yr man presents with gradual onset of difficulty swallowing solids, bulging of neck and gurgling while swallowing, and regurgitation 1hr later of food and pills undigested.
60yr man presents with painful swallowing of sudden onset, with both liquids and solids, with a feeling of food sticking in throat when swallowing, and retrosternal pain
60yr man presents with sudden onset of difficulty swallowing, and aspiration of food. He is drooling and has tongue fasciculations and absent palate movements.
60yr man with a history of Barrett's Oesophagus presents with gradual onset of difficulty swallowing, initially large bits of food but now smaller. Food feels like it sticks in thr
60yr man presents with burning retrosternal pain occuring with meals, resulting in an acid taste in the mouth and large amounts of saliva. He has had a dry cough for the whole time
60yr man presents with gnawing epigastric pain worse before meals and at night, and relieved by eating.
60yr man presents with gnawing epigastric pain worse with eating. Has experienced no weight loss, malaena, anorexia.
60yr man presents with epigastric pain with meals, nausea, anorexia, loss of 10kg in 2 months and malaena
60yr alcoholic has severe abdo pain radiating to back, worse lying flat and relieved by sitting forwards. Grey Turner sign and Cullen sign +ve
60yr man has epigastric pain radiating to back and relieved by sitting forwards. Pain is worse after meals. He has vomiting, pale stools, and low faecal pancreatic elastase
40yr European woman with BMI of 40 who is pregnant develops severe, constant RUQ pain radiating to the right shoulder. it is worse after a fatty meal. She has nausea and vomiting.
40yr woman presents with biliary colic, jaundice and fever.
40yr man with ulcerative colitis develops jaundice with pale stools and dark urine, as well as RUQ pain, fatigue and anorexia. MRI shows narrowing of biliary tree
40yr woman with rheumatoid arthritis develops jaundice with pale stools and dark urine, as well as RUQ pain, fatigue and anorexia. On examination has xanthelasmata. AMA is positive
10yr boy has 2 days of mild abdo pain and nausea followed by severe periumbilical pain which localised to RIF, vomiting, fever, diarrhoea and washboard abdomen
10yr boy presents with 2 day history of mild abdo pain and nausea followed by RIF colicky abdominal pain radiating across abdomen. There is minimal abdominal muscular rigidity.
60yr diabetic presents with severe, sudden back pain. He has a pulsatile mass in his abdomen. He is tachycardic with BP of 70/40mmHg and is pale and sweaty.
60yr man presents with crampy periumbilical abdo pain with early onset frequent profuse vomiting, minimal abdo distension and late onset of constipation (able to pass flatus)
60yr man presents with RIF pain, large degree of abdominal distension, constipation (able to pass flatus) and minimal vomiting. There are tinkling bowel sounds
60yr man post GI surgery presents with abdominal distension, constipation with inability to pass flatus, and nausea and vomiting. Minimal central abdominal pain. Absent bowel sound
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